| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,284.78 | $5,284.78 | $5,284.78 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $104.63 | $104.63 | $104.63 | |
Providence
| Facility | $68.20 | $224.85 | $468.68 |